Page 5 - Parenting-activity example
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#3 – Being a Good Parent – ASSESSMENT

                   Parent’s Name: _______________________                Today’s Date:
                   Case Manager: _______________________                 _________________





               Assessment Checklist
                   Check the box for each of the following knowledge, skills, and/or abilities (KSAs) the parent has
                   successfully demonstrated.


                From Pamphlet:                                 Additional Content in Instructor’s Manual:
                 Explain how I serve as a role model for my    Identify specific things fathers and mothers
                             ©2017 Learnovation®, LLC
                    child.                                         can each give their children to be supportive.
                 Identify my own parenting style.              List ways to handle conflicts between
                 Identify ways to support my child                parenting styles with a spouse, partner, ex, or
                    emotionally, mentally, and spiritually.        others who impact my child
                                                                Identify the key elements to controlling
                                                                   anger.



               Skill Level Assessment
                   Directions: Circle the appropriate column to indicate what skill level the parent has reached.
                                 Awareness (A)         Practicing (P)         Mastery (M)
                                “Trying this skill”   “Practicing this skill”   “Expert at this skill”

                                                  Skill List                                    Skill Level
               From Pamphlet:     For Evaluation Only
               Identify negative comments from my own childhood that have impacted my
               parenting                                                                         A / P / M
               List things I can say or do to be more supportive of my child                     A / P / M
               Send a supportive note to school with my child.                                   A / P / M
                Additional Content in Instructor’s Manual:
                Identify the parenting styles of other people who impact my child and list ways   A / P / M
                to resolve conflicts between them.
               Identify ways I can personally control my anger                                   A / P / M
               Identifying my current level of anger management                                  A / P / M
               Develop action points for controlling my anger                                    A / P / M
               Write a personal parenting rule related to the topic in this pamphlet             A / P / M
               Set and accomplish a parenting goal for this pamphlet.                            A / P / M


               I, _________________________ have completed all necessary reading and exercises related
               to the Parenting Series pamphlet Being a Good Parent. The case manager and I have
               reviewed all the above items that required discussion.




               ___________________________                           ___________________________
                           Parent’s Signature                                    Case Manager’s Signature



               Being a Good Parent–  P3                                                         Parenting Series
               ©2017 Learnovation , LLC
                               ®
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